Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Forman

Individual provider Gastroenterology Physician · NPI 1780020560

Jacqueline Forman is a Gastroenterology in Mineola, New York. Graduated from State University of New York Downstate Medical Center in 2013, 13 years ago. Practices with Digestive Healthcare Associates PC, a 16-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
13
Trained at
State University of New York Downstate Medical Center
Licensed in
NY
In the registry since
2013

Practice location Address checks out

222 Station Plz N Ste 428
Mineola, NY 11501-3819
Phone: (516) 663-2066
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 287977 (NY)

Record details

NPI number1780020560
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 20, 2013
Last updated in NPPESMarch 31, 2021
Certification dateMarch 31, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 2013 (13 years in practice)
Group practice Digestive Healthcare Associates Pc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Mineola